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BENJAMIN CHACKO MD
NPI 1619729670
Military Health Care Provider in Goose Creek, SC

Active since April 03, 2024
110 NNPTC CIR, GOOSE CREEK, SC 29445(843) 794-6000 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 5, 2025, Nov 24, 2025, Apr 3, 2024 (3 updates tracked since 2024).

About Benjamin Chacko Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENJAMIN CHACKO MD (NPI 1619729670) is an individual military health care provider provider in Goose Creek, South Carolina, licensed in Virginia (0101287091) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1619729670
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameBENJAMIN CHACKOCredential: MD
Location Address110 NNPTC CIRGoose Creek, SC 29445-6314
Mailing Address110 Nnptc CirGoose Creek, SC 29445-6314
Phone(843) 794-6000
Sole ProprietorNo
Enumeration DateApril 3, 2024
Last NPPES UpdateDecember 5, 20253 updates tracked since enumeration
NPPES CertifiedDecember 5, 2025
✔ NPI 1619729670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
License✔ Licensed in VA · 0101287091
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
110 NNPTC CIR, Goose Creek, SC 29445
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ANDREW T DARRAH PA-C
Physician Assistant
110 NNPTC CIR
GOOSE CREEK, SC 29445
Berkeley County (843) 794-6000
MRS. KIA PORCHER RDH
Dental Hygienist
110 NNPTC CIR
GOOSE CREEK, SC 29445
Berkeley County (843) 794-4511
RACHEL MAKI
Dental Hygienist
110 NNPTC CIR
GOOSE CREEK, SC 29445
Berkeley County (843) 794-4507
DR. MATTHEW CHRISTIE D.D.S.
Dentist
110 NNPTC CIR
GOOSE CREEK, SC 29445
Berkeley County (843) 794-7944
JASON WINKLER M.D.
Pediatrics
110 NNPTC CIR
GOOSE CREEK, SC 29445
Berkeley County (843) 794-6000
ZAKIHIA MOULTRIE NP
Nurse Practitioner (Family)
110 NNPTC CIR
GOOSE CREEK, SC 29445
Berkeley County (843) 794-6000
TRACY B REEVES PA
Physician Assistant
110 NNPTC CIR
GOOSE CREEK, SC 29445
Berkeley County (843) 794-6840
ANNALEE ELIZABETH ROSE EDWARDS LPN
Licensed Practical Nurse
110 NNPTC CIR
GOOSE CREEK, SC 29445
Berkeley County (843) 794-6662

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Chacko's NPI number?

The NPI number for Benjamin Chacko is 1619729670. It was assigned to this individual provider in the NPPES registry on April 3, 2024.

Where is Benjamin Chacko located?

Benjamin Chacko practices at 110 Nnptc Cir, Goose Creek, SC 29445. The listed phone number is (843) 794-6000.

What is Benjamin Chacko's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Benjamin Chacko was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.